Community Source

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY SOURCE

Practice address

12021 Skyline Rd NE Apt 2723
Albuquerque, NM 87123-3087

Phone

(575) 650-0132

NPI assigned

Mar 7, 2025

Last updated

Mar 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Annaliza Gourneau

Title

Executive Director

Phone

(575) 650-0132

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1629876297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 SKYLINE RD NE APT 2723",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 SKYLINE RD NE APT 2723",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233087",
            "telephone_number": "575-650-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "GOURNEAU",
        "authorized_official_first_name": "ANNALIZA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-650-0132",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Dental Services, Inc.
• Community Medical Specialists Inc (Community Behavioral Health)
• Community Options, Inc
• Community Options, Inc.
• Community Services Training Institute of New Mexico (Counseling & Psychotherapy Institute)
• Community Trans LLC
• Companion Care, LLC
• Companions Home Healthcare
• Ivan Comparan
• Compassion Docs LLC

• Case Management Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.